National Provider Identifier

Jacqueline Benzin

Jacqueline Benzin is listed in the NPPES registry with a primary specialty of Physical Therapist in Clarence, NY and a listed phone number of (716) 759-6985.

NPI 1265102461Clarence, NYPhysical Therapist

Profile Overview

NPI
1265102461
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 18, 2021
Last Updated
September 27, 2021

Practice Location

  • 10570 Bergtold RD
  • Clarence, NY 14031-2105

Phone: (716) 759-6985

Mailing Address

  • 215 Westfall Dr
  • Tonawanda, NY 14150-7136

Specialties

  • Physical Therapist (225100000X)
  • Physical Therapist (225100000X)
Full Record
NPI
1265102461
Entity Type
Individual
Last Name
Benzin
First Name
Jacqueline
Mailing Street Address
215 Westfall Dr
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-7136
Mailing Country
US
Mailing Phone
(716) 472-8321
Practice Street Address
10570 Bergtold RD
Practice City
Clarence
Practice State
NY
Practice ZIP Code
14031-2105
Practice Country
US
Practice Phone
(716) 759-6985
Enumeration Date
September 18, 2021
Last Updated
September 27, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
September 27, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Physical Therapist (225100000X)